Provider Demographics
NPI:1265625487
Name:WE CARE WHEELCHAIR,INC
Entity type:Organization
Organization Name:WE CARE WHEELCHAIR,INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:LEROY
Authorized Official - Last Name:STROMAN
Authorized Official - Suffix:SR
Authorized Official - Credentials:CEO
Authorized Official - Phone:712-259-0385
Mailing Address - Street 1:1533 HELMER ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51103-2725
Mailing Address - Country:US
Mailing Address - Phone:712-259-0385
Mailing Address - Fax:712-252-0339
Practice Address - Street 1:1533 HELMER ST
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51103-2725
Practice Address - Country:US
Practice Address - Phone:712-259-0385
Practice Address - Fax:712-252-0339
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WE CARE WHEELCHAIR SOUTH DAKOTA,INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-08-21
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA865BB0339343800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAXOOO499384Medicaid